Measuring Implicit Bias in ICU Notes Using Word-Embedding Neural Network Models.

Journal: Chest
Published Date:

Abstract

BACKGROUND: Language in nonmedical data sets is known to transmit human-like biases when used in natural language processing (NLP) algorithms that can reinforce disparities. It is unclear if NLP algorithms of medical notes could lead to similar transmissions of biases.

Authors

  • Julien Cobert
    Anesthesia Service, San Francisco VA Health Care System, University of California, San Francisco, San Francisco, CA; Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA. Electronic address: Julien.cobert@ucsf.edu.
  • Hunter Mills
    Bakar Computation Health Sciences Institute, University of California, San Francisco, San Francisco, California.
  • Albert Lee
    JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, China.
  • Oksana Gologorskaya
    Bakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA.
  • Edie Espejo
    Division of Geriatrics, University of California, San Francisco, San Francisco, CA.
  • Sun Young Jeon
    Department of Rehabilitation Medicine, National Rehabilitation Center, Ministry of Health and Welfare, 58, Samgaksan-ro, Gangbuk-gu, Seoul, Republic of Korea.
  • W John Boscardin
    Department of Epidemiology and Biostatistics, University of California, San Francisco.
  • Timothy A Heintz
    School of Medicine, University of California, San Diego, San Diego, CA.
  • Christopher J Kennedy
    Department of Psychiatry, Harvard Medical School, Boston, MA; Center for Precision Psychiatry, Massachusetts General Hospital, Boston, MA.
  • Deepshikha C Ashana
    Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC.
  • Allyson Cook Chapman
    Department of Medicine, the Division of Critical Care and Palliative Medicine, University of California, San Francisco, San Francisco, CA; Department of Surgery, University of California, San Francisco, San Francisco, CA.
  • Karthik Raghunathan
    Department of Anesthesia and Perioperative Care, Duke University, Durham, NC.
  • Alex K Smith
    Department of Geriatrics, Palliative, and Extended Care, Veterans Affairs Medical Center, University of California, San Francisco, San Francisco, CA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA.
  • Sei J Lee
    Division of Geriatrics, University of California, San Francisco, San Francisco, CA.